Super 1 Pharmacy #643 is an authorized DME supplier for medicare equipments and products.
Super 1 Pharmacy #643 is a Pharmacy in Scott, Louisiana. This pharmacy is owned and operated by Brookshire Grocery Company. It is located at 200 Destination Pointe Ln., Scott and it's customer support contact number is 337-210-2001. The authorized person of Super 1 Pharmacy #643 is Jim Cousineau who is Sr. Vp Of Pharmacy Operations of the pharmacy and his contact number is 903-877-6829. Active license number of Super 1 Pharmacy #643 is 007485 for Pharmacy in Louisiana. Super 1 Pharmacy #643 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Super 1 Pharmacy #643 is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Super 1 Pharmacy #643 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jim Cousineau
Position:
Sr. Vp Of Pharmacy Operations
Contact Number:
903-877-6829
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1750811295
NPI Enumeration Date:
18 Jun, 2017
NPI Last Update On:
18 Jun, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Super 1 Pharmacy #643 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
007485
Louisiana
Primary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2169752
Other
Pk
Medicare Enrollment:
Super 1 Pharmacy #643 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1355415712
O20170922000319
Brookshire Grocery Company
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 Destination Pointe Ln., Scott, Louisiana
Zip:
70583
Phone Number:
337-210-2001
Fax Number:
337-236-6531
Patients can reach Super 1 Pharmacy #643 at 200 Destination Pointe Ln., Scott, Louisiana or can call on customer care at 337-210-2001.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
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